Results of a Multicenter Randomized Controlled Trial of the Clinical Effectiveness of Schema Therapy for Personality Disorders

Abstract

Schema therapy was superior to treatment as usual on recovery, other interview-based outcomes, and dropout. Exercise-based schema therapy training was superior to lecture-based training.

The impact of comorbid depression on recovery from personality disorders and improvements in psychosocial functioning: Results from a randomized controlled trial

“…Recovery was defined as not meeting diagnostic criteria of any personality disorder. The inter-rater reliability for the SCID-II in the current study was good (Intraclass correlation coefficient ¼ 0.84; based on 42 double-rated interviews; Bamelis, Evers, Spinhoven, & Arntz, 2014). Reliability data for the SCID-I mood disorder diagnoses are not available from the present study, but raters from our research group who received the same training attained fair to excellent inter-rater reliability for major depressive disorder (kappa 0.66) and dysthymia (kappa 0.81) in a different sample (Lobbestael, Leurgans, & Arntz, 2011).…”

“…ST therapists trained in the second, more interactive, cohort had better effects than ST therapists trained in the first cohort (Bamelis et al, 2014). We therefore included therapist training cohort effects in all analyses of primary and secondary outcomes, represented by a centred covariate (À0.5 for first, 0.5 for second cohort; 0 for COP (Bamelis et al, 2014)). Depression at baseline was operationalized as the presence (coded 1) or absence (coded 0) of any depressive disorder at baseline (major depressive disorder single episode, recurrent major depressive disorder and/or dysthymia).…”

“…For all continuous outcomes we calculated the effect-size r, based on the multilevel estimates, using the following formula: r ¼ SQRT(t 2 /(t 2 þ df)). A more detailed description of the analytical approach for primary and secondary outcomes in the current study as well as a number of sensitivity analyses is provided elsewhere (Bamelis et al, 2014). Table 2 provides an overview of the distribution of current depressive disorders at baseline across the three treatment conditions.…”

“…The results of these analyses are summarized in Table 5. First we tested a model including a time  cohort  ST  depression four-way interaction to test whether baseline depression moderated the superior effects of the second schema-therapist cohort on psychosocial adjustments that was found in the main effectiveness analyses (Bamelis et al, 2014). For all three psychosocial functioning measures the four-way interaction was not significant (GAF: p ¼ 0.95; SOFAS: p ¼ 0.84; WSAS: p ¼ 0.24) and therefore removed from the model.…”

Over opleiden: een powerpointpresentatie met 133 sheets

“…Ik weet dat het lang niet altijd gemakkelijk is om een goede les te geven. Toch geloof ik dat een lesdag waarop vooral powerpoint-presentaties worden gegeven weinig meer- 3 In dit laatste onderzoek zijn de uitkomsten van onderzoek naar verschillende onderwijsvormen meegenomen. De onderzoekers vonden dat therapeuten effectiever zijn als tijdens hun opleiding minder werd 'gepraat over' een behandelmethodiek, maar ze in plaats daarvan veel voorbeelden kregen en in rollenspellen oefenden.…”